CPT® Code 97127 | Case2Code

Code deleted, see 97129

Official Description

Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing and sequencing tasks), direct (one-on-one) patient contact

Common Language Description

Therapeutic interventions that focus on cognitive function, as described by CPT® Code 97127, are designed to enhance various cognitive abilities such as attention, memory, reasoning, executive function, problem solving, and pragmatic functioning. These interventions are particularly beneficial for individuals who have experienced brain injuries or are facing cognitive decline due to aging or degenerative diseases. The therapy may involve engaging patients in activities and materials that require cognitive processing, which can help in restoring or maintaining their cognitive skills. Additionally, specific training exercises that utilize practice and repetition are employed to develop new strategies for managing cognitive tasks. The interventions also aim to assist patients in achieving personal goals by incorporating external aids, such as calendars, diaries, memory books, and electronic devices, which can facilitate better organization and task management. By focusing on selected activities and adapting the environment, these therapeutic interventions strive to maximize the individual's success in managing their cognitive challenges. Code 97127 specifically denotes direct, one-on-one patient contact during these cognitive function therapeutic interventions.

1. Indications

Therapeutic interventions focusing on cognitive function are indicated for patients who exhibit cognitive impairments due to various conditions. These may include:

Brain Injury Patients recovering from traumatic brain injuries may require cognitive rehabilitation to regain lost skills.
Aging Older adults experiencing cognitive decline associated with aging may benefit from strategies to maintain cognitive function.
Degenerative Diseases Individuals with degenerative diseases, such as Alzheimer's or other forms of dementia, may need support in managing cognitive tasks.

2. Procedure

The procedure for implementing therapeutic interventions that focus on cognitive function involves several key steps:

Assessment of Cognitive Function Initially, a comprehensive assessment of the patient's cognitive abilities is conducted. This evaluation helps identify specific areas of weakness and informs the development of a tailored intervention plan.
Engagement in Cognitive Activities Patients are engaged in activities that require cognitive processing. These activities are designed to challenge and stimulate cognitive functions, promoting improvement in areas such as attention and memory.
Training Exercises Specific training exercises are introduced, which utilize practice and repetition to help patients develop new cognitive strategies. These exercises are crucial for reinforcing learning and enhancing cognitive skills.
Goal Setting Personal goals are established in collaboration with the patient. This step ensures that the interventions are relevant and meaningful to the individual, increasing motivation and engagement.
Use of External Aids The incorporation of external aids, such as calendars, diaries, memory books, and electronic devices, is implemented to assist patients in managing their cognitive tasks more effectively. These tools help in organizing information and reminders.
Environment Adaptation The therapy may also involve adapting the patient's environment to support cognitive function. This could include modifying the physical space to reduce distractions or enhance accessibility to necessary tools.

3. Post-Procedure

Post-procedure care involves ongoing support and monitoring of the patient's cognitive progress. Patients may be encouraged to continue using the strategies and tools introduced during therapy in their daily lives. Regular follow-up sessions can be scheduled to assess improvements, adjust goals, and provide additional training as needed. It is essential to maintain an open line of communication between the patient and the therapist to ensure that the interventions remain effective and relevant to the patient's evolving needs.

Short Descr	THER IVNTJ W/FOCUS COG FUNCJ
Medium Descr	THERAPEUTIC IVNTJ W/FOCUS ON COGNITIVE FUNCTION
Long Descr	Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing and sequencing tasks), direct (one-on-one) patient contact
Status Code	Not Valid for Medicare Purposes
Global Days	XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC)	9 - Not Applicable
Multiple Procedures (51)	9 - Concept does not apply.
Bilateral Surgery (50)	9 - Concept does not apply.
Physician Supervisions	09 - Concept does not apply.
Assistant Surgeon (80, 82)	9 - Concept does not apply.
Co-Surgeons (62)	9 - Concept does not apply.
Team Surgery (66)	9 - Concept does not apply.
Diagnostic Imaging Family	99 - Concept Does Not Apply
APC Status Indicator	Non-Covered Service, not paid under OPPS
Type of Service (TOS)	1 - Medical Care
Berenson-Eggers TOS (BETOS)	none
MUE	Not applicable/unspecified.